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1598767055
TOLLY B ALSUP
PADUCAH, KY
NPI
1598767055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 1898)
Enumeration Date
2005-08-15
Last Update Date
2018-08-22
Business Address
TOLLY B ALSUP PA-C
3101 PARISA DR.
PADUCAH, KY 42003
Phone number: 270-444-8477
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Mailing Address
TOLLY B ALSUP PA-C
3101 PARISA DR.
PADUCAH, KY 42003
Phone number: 270-444-8477
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